<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Untitled Document</title>
</head>

<body>
<form id="form1" name="form1" method="post" action="?action=orderaccept" dir="ltr">
  <table width="100%" border="0">
    <tr>
      <td width="68%" height="45"><label>
        <div align="center">[lang_elements_nums]
          <input name="order_pro_num" type="text" id="order_pro_num" />
        </div>
      </label></td>
      <td width="32%"><label>
        <div align="center">
          <input type="submit" name="Submit" value="Submit" />
        </div>
      </label></td>
    </tr>
  </table>
</form>
</body>
</html>
